Provider Demographics
NPI:1912928961
Name:AHM MANAGEMENT
Entity Type:Organization
Organization Name:AHM MANAGEMENT
Other - Org Name:TARPON DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASPASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASKOPOULOS MANIAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:727-772-9577
Mailing Address - Street 1:742 S PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:742 S PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3710
Practice Address - Country:US
Practice Address - Phone:727-934-3400
Practice Address - Fax:727-934-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH218663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1018060OtherOTHER ID NUMBER
1018060OtherOTHER ID NUMBER-COMMERCIAL NUMBER